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Long Term Management and Rehabilitation of Stroke Patients

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					                  HEFT Faculty
Stroke Care Education Programme
  Developed using the Stroke Network
             Competency Framework



                    Claire Whittle
    Learn Lead Strategy


 Workforce
Development
  Strategy
• A centrally managed education
  portfolio explicitly linked to
  business needs, workforce plan
  and clinical vision.
• Effective educational frameworks
  and curricula that have high
  impact on quality and safety.
We build our curricula based
on core business intelligence
and the latest evidence; this
establishes a direct link to
clinical governance,
organisational development,
innovation and research and
development.
By developing and delivering
our own programmes we will
reinvest much of our
educational spend back into
the organisation. This will
enable us to grow our internal
and clinical faculty to support
and deliver education where it
has the highest impact on
quality, that is, close to the
patient
Educational Framework
          The latest evidence suggests that
          learning has highest impact on patient
          care quality when it occurs in situ. We
          will therefore, wherever possible,
          develop and invest in education that is
          service situated. Our faculty educators,
          as well as being academically credible,
          will work alongside individuals and
          teams in actual or simulated patient
          environments acting as agents and
          catalysts for development. To reflect
          this we will work with our Higher
          Education partners to validate and
          accredit clinically focussed modules
          and programmes.
                               Map core
• TNA                         frameworks   • HEFT Faculty
• LBR Commissioning                          development of
                      • Stroke Network       programme
• Patient care          Competency
  developments                             • Collaborative provision
                        Framework
• Other data

                                                 Model accredited
       Define needs
                                                   programme
                          Course delivery
                  study days /seminars /e learning



Module 2 - Long Term Management and Rehabilitation of stroke patients



                           Course delivery
             study days /seminars /e learning/simulation


         Module 1 - Care and Acute Management of Stroke or
                 Transient Ischemic Attack patients
               Care and Acute Management of Stroke or
                  Transient Ischemic Attack patients

Intended Learning Outcomes: Having completed                        Assessment
this module the participant is expected to:
1. Critically examine the anatomy and physiology       Summative- 3000 word written
of the nervous system relating to the                  assignment reflecting on the care of
pathophysiology of a stroke or a T.I.A.                a patient following a stroke or T.I.A.
2. Critically analyse preventative strategies and
                                                       Provide evidence of achievement in
risk factors reflecting the management of a
                                                       the related Cardiac and Stroke
stroke related illnesses.
                                                       Network Competencies
3. Critically examine the holistic care of the acute
stroke patient.                                        Related Stroke Competencies are as
4. Analyse the different roles and responsibilities    follows- Communication,
of the Multi-Disciplinary Team caring for patients     Underpinning knowledge and
on the stroke care pathway.                            overarching values, Prevention .
                                                       Acute stroke
                                                                   Indicative content –
Content:
                                                 Care and Acute Management of stroke or Transient
•Network Competencies
•The Stroke Strategy relating to acute care
                                                          Ischemic Attack patients (Adult)
•Local and National guidelines
•Communication, Situation, Background,
Assessment and Recommendation.
•Documentation                                •The Autonomic Nervous System
•Anatomy and Physiology of-                   •Emergency care and management of a
•The Development of the Nervous System        stroke patient (including end of life care)
•The Nervous System                           •Holistic assessment of a stroke and T.I.A
                                              patient
                                              •Thrombolysis
                                              •Risk factors                       •Roles and responsibilities of the
                                              •Immediate                          multi- disciplinary team related to
                                              •Primary prevention                 acute care
                                                                                  •Observations
                                                                                  •Vital Signs
                                                                                  •Neurological
                                                                                  •Glasgow Coma Scale
                                                                                  •Investigations and interventions
                                                                                  •Blood tests
                                                                                  •CT imaging           •Vascular and surgical interventions
                                                                                                    •Stroke Mimics
                                                                                                    •Pharmacology
                                                                                                    •Nutrition and swallowing assessments
                                                                                                    •Psychological effects of a stroke on the patient,
                                                                                                    including social integration
                                                                                                    •Ethics and Mental Capacity Act
                                                                                                    Data collection
Long Term Management and Rehabilitation of Stroke Patients

                                                                                    Assessment
Intended Learning Outcomes: Having completed this module the
participant is expected to                                              Summative- 3000 word written
1)   Critically analyse the long term care and management of
                                                                        assignment reflecting on long term
     patients following a stroke.                                       care and management of a patient
2)   Critically evaluate the effects of rehabilitation of a stroke
                                                                        following a stroke.
     patient using the stroke care pathway.                             Provide evidence of achievement in
3)   Demonstrate knowledge of caring for a stroke patient reaching
                                                                        the related Cardiac and Stroke
     the end of their life, recognition signs and making appropriate    Network Competencies
     adjustments to their stroke care pathway in consultation with
     the patient and their family/carers.
                                                                        Related Stroke Competencies are as
4)   Analyse community, social and continuing care requirements for
     stroke patients including opportunities for service improvement.
                                                                        follows-
     Having an understanding of the Patient and Public Involvement      Communication, Underpinning
     strategy’s and opportunities to engage ‘Hard to Reach Groups’.     knowledge and overarching values,
                                                                        Service Improvement,
                                                                        Rehabilitation, Community and long
                                                                        term support and review .
                                                                Indicative content –
•The Stroke Strategy relating to                                Long Term Management and
rehabilitation care
•Local and National guidelines                                  Rehabilitation of Stroke patients
•Communication, Situation,
Background, Assessment and
Recommendation
•Documentation
•Holistic assessment of a stroke      •Ongoing and long term
patient in a rehabilitation setting   management of a stroke patient in
looking at-                           secondary and primary care settings.
•Muscle tone                          •Psychological effects of a stroke on
•Movements                            the patient and their family
•Sensory                              •Changes in perception
                                      •Body image                           •Living with a disability
                                      •Sexuality                            •Finances
                                      •Depression                           •Benefits
                                      •Motivation                           •Driving
                                      •Support                              •Co-morbidity-
                                                                            •Blood pressure
                                                                            •Obesity                    •Secondary prevention
                                                                            •Diabetes                   •Pharmacology
                                                                            •Vascular disease           •End of life recognition and breaking of bad
                                                                                                        news
                                                                                                        •Concepts of social care
                                                                                                        •Roles and responsibilities of the multi-
                                                                                                        disciplinary team related to long term care.
                                                                                                        •Public and Patient Involvement strategy’s,
                                                                                                        including ‘Hard to Reach Groups’.
                                                                                                        Data collection
            Timescale

The two modules will be academically
accredited during October/November

   The modules will commence in
          January 2011
     www.heftfaculty.co.uk

Claire.Whittle@heartofengland.nhs.uk
         0121 424 2943

				
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